Medical Treatment vs SDOH - Washington
Medical Treatment vs
SDOH
A False Dichotomy?
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
Let's Examine
? What is Medical Treatment? ? What are the Social Determinants of Health? ? Do they impact each other? How? ? Should we do anything about it? When and Why? ? Downsides/Upsides ? Think globally, act locally
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
2
Medical Treatment vs
SDOH
? Are they related? ? SDOH always present ? Medical Treatment and SDOH reflect practice and patient
population variability. ? SDOH concerns may only arise when lacking
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
3
One Way To Think of Medical Treatment & SDOH
? Medical Treatment Plan as blueprint & directions ? Social Determinants of Health as toolbox ? We send the patient out to do a job ? The patient needs both directions and tools
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
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Medical Treatment: It's What We Do
? We evaluate patients ? We make a diagnostic and/or treatment plan ? It's the blueprint and directions of our recommendations ? It's up to patients to follow our recommendations and
referrals
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
SDOH: The Other Stuff Impacting Care
? Factors which affect one's health
"conditions in the places where people live, learn, work, and play; affect a wide range of health risks and outcomes. These conditions are known as social determinants of health (SDOH)."
? ? CDC website on SDOH
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
6
SDOH Drill Down
? Individual behavior ? Social environment ? Physical environment ? Health services access
--CDC website on SDOH
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
7
SDOH Specific Examples
Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019
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